The Ensign Group, Inc.

ENSG Healthcare Medical Care Facilities

The Ensign Group, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $5.1 billion, up 18.7% from fiscal 2024. In the quarter to June 2026, revenue grew 17.3%, EPS grew 16.2%, free cash flow grew 12.2% and total debt fell 2.77%, each against the same quarter a year earlier. Dividend growth for five consecutive years, revenue growth for five.

176.63 1.48 −0.83%
Market cap
$10.4B
P/E
26.9×
Fwd P/E
24.1×
Dividend yield
0.15%
F-score
7/9
Altman Z
3.57
Beneish M
−2.57
Dividend safety
92/100
Dec '16 Dec '17 Dec '18 Dec '19 Dec '20 Dec '21 Dec '22 Dec '23 Dec '24 Dec '25
P/E ratio
21.15 27.26 20.50 21.92 22.86 23.45 23.11 30.49 25.26 28.99
Piotroski F-Score
4 5 7 5 7 6 5 6 6 7
Altman Z-Score
3.60 3.12 4.16 2.16 2.90 3.13 3.03 2.97 3.30 3.57
P/S ratio
0.64 0.70 1.08 1.19 1.62 1.74 1.71 1.71 1.77 1.97
P/FCF ratio
21.47 39.52 11.50 18.93 12.05 21.99 26.79 23.61 39.84 26.93
Altman Z″-Score (non-manufacturers)
3.08 2.76 2.96 1.50 1.85 2.31 2.44 2.38 2.78 2.75
Beneish M-Score
(2.44) (2.65) (3.13) (1.78) (2.94) (2.53) (2.25) (2.51) (2.30) (2.57)
P/Operating CF
391.50 68.17 35.60 40.52 42.73 64.26 103.38 74.90 74.93 54.46
Dividend Safety Score
— — — — — — — — — 92
P/B ratio
2.30 2.22 3.13 3.70 4.76 4.48 4.15 4.27 4.09 4.47
EV/Sales
0.77 0.86 1.19 1.31 1.57 1.70 1.66 1.61 1.68 1.89
EV/EBITDA
9.69 15.90 16.05 14.76 13.50 14.04 13.91 18.28 16.11 18.00
EV/FCF
25.81 48.68 12.74 20.89 11.63 21.42 25.87 22.22 37.82 25.77
Current Ratio
1.58 1.63 1.29 1.20 1.04 1.22 1.34 1.42 1.56 1.42
Net Debt/EBITDA
1.63 2.99 1.56 1.38 (0.48) (0.38) (0.50) (1.15) (0.86) (0.81)
Debt/Equity
0.62 0.63 0.40 0.50 0.14 0.15 0.12 0.10 0.08 0.06
ROE
11.27% 8.43% 16.76% 17.57% 23.13% 21.16% 19.79% 15.25% 17.85% 16.88%
ROA
5.72% 3.85% 8.09% 6.24% 6.95% 7.21% 7.13% 5.49% 6.74% 6.79%
ROIC
8.51% 3.56% 6.59% 8.90% 20.40% 18.04% 17.33% 14.25% 15.35% 14.73%
Return on Tangible Assets
8.24% 5.96% 13.44% 13.23% 21.34% 19.37% 18.86% 14.93% 17.47% 16.58%
Average Days of Receivables
53.91 60.53 52.40 55.38 46.34 45.67 49.27 47.47 48.82 45.97
Earnings Yield
4.73% 3.67% 4.88% 4.56% 4.37% 4.26% 4.33% 3.28% 3.96% 3.45%
Free Cash Flow Yield
4.66% 2.53% 8.70% 5.28% 8.30% 4.55% 3.73% 4.23% 2.51% 3.71%
Free Cash Flow per Share
0.98 0.55 3.16 2.40 6.05 3.82 3.53 4.86 3.34 6.47
Book value per Share
9.11 9.82 11.58 12.28 15.31 18.75 22.75 26.88 32.48 39.00
Free Cash Flow
49.31 28.11 164.18 128.09 323.44 207.88 193.60 270.49 188.95 370.71
EV/EBIT
13.86 31.68 24.63 20.72 16.86 17.11 16.87 23.53 19.94 22.46
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